公开(公告)号：US08521285B2

公开(公告)日：2013-08-27

申请号：US12906855

申请日：2010-10-18

申请人： Amy Jean Brisben ,  Aaron R. McCabe ,  Clayton S. Foster ,  David W. Yost ,  Kevin John Stalsberg ,  Jacob I. Laughner

发明人： Amy Jean Brisben ,  Aaron R. McCabe ,  Clayton S. Foster ,  David W. Yost ,  Kevin John Stalsberg ,  Jacob I. Laughner

IPC分类号： A61N1/36

CPC分类号： A61N1/3712 ,  A61N1/3627

摘要： Methods and devices are described that allow estimation of an electrostimulation capture threshold, such as a dedicated bipolar pacing vector threshold. In an example, an equal-energy assumption between first and second pacing vectors can be used to estimate an electrostimulation capture threshold of a second pacing vector from a measured electrostimulation capture threshold of the first pacing vector and impedances of the first and second pacing vectors. In an example, a relationship between first and second pacing vectors can be determined from measured data, and a parameter of the relationship can be used with a measurement of an electrostimulation capture threshold of the first pacing vector to estimate an electrostimulation capture threshold of the second pacing vector.

摘要翻译： 描述了允许估计电刺激捕获阈值（例如专用双极起搏矢量阈值）的方法和装置。 在一个示例中，可以使用第一和第二起搏向量之间的等能量假设从第一起搏向量的测量的电刺激捕获阈值和第一和第二起搏向量的阻抗来估计第二起搏向量的电刺激捕获阈值。 在一个示例中，可以从测量数据确定第一和第二起搏向量之间的关系，并且可以使用关系的参数与第一起搏向量的电刺激捕获阈值的测量来估计第二起搏向量的电刺激捕获阈值 起搏向量

公开(公告)号：US20110098774A1

公开(公告)日：2011-04-28

申请号：US12906855

申请日：2010-10-18

申请人： Amy Jean Brisben ,  Aaron R. McCabe ,  Clayton S. Foster ,  David W. Yost ,  Kevin John Stalsberg ,  Jacob I. Laughner

发明人： Amy Jean Brisben ,  Aaron R. McCabe ,  Clayton S. Foster ,  David W. Yost ,  Kevin John Stalsberg ,  Jacob I. Laughner

IPC分类号： A61N1/08

CPC分类号： A61N1/3712 ,  A61N1/3627

摘要： Methods and devices are described that allow estimation of an electrostimulation capture threshold, such as a dedicated bipolar pacing vector threshold. In an example, an equal-energy assumption between first and second pacing vectors can be used to estimate an electrostimulation capture threshold of a second pacing vector from a measured electrostimulation capture threshold of the first pacing vector and impedances of the first and second pacing vectors. In an example, a relationship between first and second pacing vectors can be determined from measured data, and a parameter of the relationship can be used with a measurement of an electrostimulation capture threshold of the first pacing vector to estimate an electrostimulation capture threshold of the second pacing vector.

公开(公告)号：US20130138175A1

公开(公告)日：2013-05-30

申请号：US13684821

申请日：2012-11-26

申请人： Aaron R. McCabe ,  Deepa Mahajan ,  David W. Yost ,  Clayton S. Foster ,  Shibaji Shome ,  Amy Jean Brisben

发明人： Aaron R. McCabe ,  Deepa Mahajan ,  David W. Yost ,  Clayton S. Foster ,  Shibaji Shome ,  Amy Jean Brisben

IPC分类号： A61N1/37

CPC分类号： A61N1/371 ,  A61N1/056 ,  A61N1/3712

摘要： An apparatus comprises a control circuit that initiates a normal pacing mode for delivery of electrostimulation energy to the heart chamber. In response to an indication to initiate a threshold test, the control circuit determines an electrode configuration used to deliver the electrostimulation energy in the normal pacing mode, selects a first threshold test mode when a sensing electrode independent from the set of pacing electrodes is unavailable for the heart chamber, wherein a cardiac activity signal is sensed using a set of sensing electrodes that includes an electrode common to the set of pacing electrodes, and selects a second threshold test mode when a sensing electrode independent from the set of pacing electrodes is available for the heart chamber, wherein the cardiac activity signal is sensed using a set of sensing electrodes that excludes an electrode common to the set of pacing electrodes.

摘要翻译： 一种装置包括控制电路，该控制电路启动用于向心室输送电刺激能量的正常起搏模式。 响应于启动阈值测试的指示，控制电路确定用于在正常起搏模式中传送电刺激能量的电极配置，当独立于起搏电极组的感测电极不可用于当前起搏模式时，选择第一阈值测试模式 心室，其中使用包括所述起搏电极组共同的电极的一组感测电极来感测心脏活动信号，并且当独立于所述起搏电极组的感测电极可用于第二阈值测试模式时，选择第二阈值测试模式 所述心室，其中使用排除所述起搏电极组共同的电极的一组感测电极感测所述心脏活动信号。

公开(公告)号：US08725261B2

公开(公告)日：2014-05-13

申请号：US13306615

申请日：2011-11-29

申请人： Eric K. Enrooth ,  Sunipa Saha ,  Clayton S. Foster ,  Yanting Dong

发明人： Eric K. Enrooth ,  Sunipa Saha ,  Clayton S. Foster ,  Yanting Dong

IPC分类号： A61N1/362

CPC分类号： A61N1/371 ,  A61N1/3714

摘要： Approaches for rate initialization and overdrive pacing used during capture threshold testing are described. Cardiac cycles are detected and the cardiac events of a cardiac chamber that occur during the cardiac cycles are monitored. The number of intrinsic beats in the cardiac events is counted. Initialization for a capture threshold test involves maintaining a pre-test pacing rate for the capture threshold test if the number of intrinsic beats in the cardiac events is less than a threshold. The pacing rate is increased for the capture threshold test if the number of intrinsic beats in the cardiac events is greater than the threshold.

摘要翻译： 描述捕获阈值测试期间使用的速率初始化和超速起搏的方法。 检测到心脏周期，并监测在心脏周期期间发生的心室的心脏事件。 计数心脏事件中的固有搏动次数。 捕获阈值测试的初始化涉及如果心脏事件中的固有搏动次数小于阈值，则保持捕获阈值测试的预先测试起搏速率。 如果心脏事件中的固有搏动次数大于阈值，则针对捕获阈值测试，起搏速率将增加。

公开(公告)号：US08457741B2

公开(公告)日：2013-06-04

申请号：US12906849

申请日：2010-10-18

申请人： Amy Jean Brisben ,  Aaron R. McCabe ,  Kevin John Stalsberg ,  Jacob I. Laughner ,  Clayton S. Foster ,  David W. Yost

发明人： Amy Jean Brisben ,  Aaron R. McCabe ,  Kevin John Stalsberg ,  Jacob I. Laughner ,  Clayton S. Foster ,  David W. Yost

IPC分类号： A61N1/368

CPC分类号： A61N1/371 ,  A61N1/3712 ,  A61N1/37282

摘要： Methods and devices are described that allow estimation of an electrostimulation capture threshold, such as a dedicated bipolar pacing vector threshold. In an example, an equal-energy assumption between first and second pacing vectors can be used to estimate an electrostimulation capture threshold of a second pacing vector from a measured electrostimulation capture threshold of the first pacing vector and impedances of the first and second pacing vectors. In an example, a relationship between first and second pacing vectors can be determined from measured data, and a parameter of the relationship can be used with a measurement of an electrostimulation capture threshold of the first pacing vector to estimate an electrostimulation capture threshold of the second pacing vector.

公开(公告)号：US20130138174A1

公开(公告)日：2013-05-30

申请号：US13684814

申请日：2012-11-26

申请人： David W. Yost ,  Deepa Mahajan ,  Clayton S. Foster ,  Aaron R. McCabe ,  Shibaji Shome ,  Amy Jean Brisben

发明人： David W. Yost ,  Deepa Mahajan ,  Clayton S. Foster ,  Aaron R. McCabe ,  Shibaji Shome ,  Amy Jean Brisben

IPC分类号： A61N1/37

CPC分类号： A61N1/3712

摘要： Cardiac electrostimulation energy is delivered to a heart chamber of a subject according to a normal pacing mode using a set of implantable pacing electrodes. When a threshold test for the heart chamber is initiated and a sensing electrode independent from the set of pacing electrodes is unavailable for the heart chamber, cardiac electrostimulation energy is delivered to the subject according to a threshold test mode. The threshold test mode includes sensing a cardiac activity signal from a subject using a set of sensing electrodes that includes an electrode common to the set of pacing electrodes, and changing the electrostimulation energy and sensing a resulting cardiac activity signal using the set of sensing electrodes to determine the optimum electrostimulation energy for capture of the heart chamber.

摘要翻译： 心脏电刺激能量使用一组可植入起搏电极根据正常起搏模式递送到受试者的心室。 当启动心脏室的阈值测试并且独立于该组起搏电极的感测电极不能用于心脏室时，根据阈值测试模式将心脏电刺激能量递送给受试者。 阈值测试模式包括使用包括一组起搏电极的电极的一组感测电极来感测来自对象的心脏活动信号，并且使用该组感测电极改变电刺激能量并感测所得到的心脏活动信号， 确定用于捕获心室的最佳电刺激能量。

公开(公告)号：US20110098773A1

公开(公告)日：2011-04-28

申请号：US12906849

申请日：2010-10-18

申请人： Amy Jean Brisben ,  Aaron R. McCabe ,  Kevin John Stalsberg ,  Jacob I. Laughner ,  Clayton S. Foster ,  David W. Yost

发明人： Amy Jean Brisben ,  Aaron R. McCabe ,  Kevin John Stalsberg ,  Jacob I. Laughner ,  Clayton S. Foster ,  David W. Yost

IPC分类号： A61N1/36

CPC分类号： A61N1/371 ,  A61N1/3712 ,  A61N1/37282

摘要： Methods and devices are described that allow estimation of an electrostimulation capture threshold, such as a dedicated bipolar pacing vector threshold. In an example, an equal-energy assumption between first and second pacing vectors can be used to estimate an electrostimulation capture threshold of a second pacing vector from a measured electrostimulation capture threshold of the first pacing vector and impedances of the first and second pacing vectors. In an example, a relationship between first and second pacing vectors can be determined from measured data, and a parameter of the relationship can be used with a measurement of an electrostimulation capture threshold of the first pacing vector to estimate an electrostimulation capture threshold of the second pacing vector.

摘要翻译： 描述了允许估计电刺激捕获阈值（例如专用双极起搏矢量阈值）的方法和装置。 在一个示例中，可以使用第一和第二起搏向量之间的等能量假设从第一起搏向量的测量的电刺激捕获阈值和第一和第二起搏向量的阻抗来估计第二起搏向量的电刺激捕获阈值。 在一个示例中，可以从测量数据确定第一和第二起搏向量之间的关系，并且可以使用关系的参数与第一起搏向量的电刺激捕获阈值的测量来估计第二起搏向量的电刺激捕获阈值 起搏向量